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NORTHCREST FAMILY MEDICINE LLC
NPI 1255465217
Family Medicine in Canton, GA

Active since March 14, 2007
7768 CUMMING HWY, SUITE 300, CANTON, GA 30114(770) 720-2113(770) 704-7365 Get Directions Write a Review

NPPES record last updated: March 22, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Northcrest Family Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHCREST FAMILY MEDICINE LLC (NPI 1255465217) is a healthcare organization registered as a family medicine in Canton, Georgia and active in the NPI registry since March 2007. The organization lists John Richard Jackson, Md / Owner, as its authorized official.

NPPES Registry Identity

NPI1255465217
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHCREST FAMILY MEDICINE LLC
Location Address7768 CUMMING HWY, SUITE 300Canton, GA 30114-9314
Mailing Address7768 Cumming Hwy. Ste 300Canton, GA 30114 · (770) 720-2113 · Fax (770) 704-7365
Phone(770) 720-2113
Fax(770) 704-7365
Organization SubpartNo
Authorized OfficialJohn Richard JacksonMd / Owner · (770) 655-1408
Enumeration DateMarch 14, 2007
Last NPPES UpdateMarch 22, 2013
✔ NPI 1255465217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 056102
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7768 CUMMING HWY, Canton, GA 30114
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Other Identifiers 2

Medicare ID-Type UnspecifiedGRP7458GA
Medicaid978224987AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEWIS FAMILY DENTISTRY, LLC
Dentist
7768 CUMMING HWY, SUITE 100
CANTON, GA 30114
Cherokee County (678) 493-2204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northcrest Family Medicine LLC's NPI number?

The NPI number for Northcrest Family Medicine LLC is 1255465217. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Northcrest Family Medicine LLC located?

Northcrest Family Medicine LLC is located at 7768 Cumming Hwy Suite 300, Canton, GA 30114. The listed phone number is (770) 720-2113.

What is Northcrest Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Northcrest Family Medicine LLC was last updated on March 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.